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HomeMy WebLinkAboutWQ0031725_Annual Report_20130226February 26, 2013 NCDENR - DWQ Aquifer Protection Section Land Application Unit 2728 Capital Boulevard Raleigh, NC 27604 RE: 2012 Annual Land Application Report Permit No. W�Q003 725 Baxter Healthcare Corporation McDowell County Enclosed is the annual land application report for the calendar year 2012. RECEIVE® MA ®WN13 Asheville Regional Office If you have any questions or require additional information, please contact Amanda Richcreek at 828.756.6809. X Andrea.Darsey Plant Manager Cc: NC Division of Water Quality (3 copies with enclosures) WWTP File Copy EHS File Copy Baxter Healthcare Corporation PO Box 1390, Marion, NC 28752 T 828.756.4151 RECEIVEDIDENEWO FEB 2 8 2013 Aquifer Protection Section � ' ^ BAXTER HEALTHCARE Baxter Healthcare Corporation 3Ol2Annual Report Land Application Program NCPermit No. VV[0O31725 Oat ...... . . . . . . . . . . . . . . . . . . . ............... RECENEDIDEHRMWO FEB 2 8 2013 Aqger protection Section Q Section 1 Form ACF Annual Land Application Certification Form RECEIVED/DENRIDWQ FEB 2 8 2013 AgaiferProtection Section ANNUAL LAND APPLICATION CERTIFICATION FORM WQ Permit#: WQ0031725 County: McDowell Year: Facility Name (as shown on permit): Baxter Healthcare Land Application Operator: Southern Soil Builders, Inc. Phone: 2012 336-957-8909 Land application of residuals as allowed by the permit occurred during the past calendar yea>�E1VEDIDENRIDWQ 0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals generated but not land applied, please attach an explanation on how the residuals were handled. FEB 2 g 2013 Part A - Residuals Application Summary: Total number of application fields in thepermit: W W Total number of fields utilized for land application during the year: 5. Total amount of dry tons applied during the year for all application sites: 143.01 Total number of acres utilizes for land application during the year: 39.79 Part B - Annual Compiance Statement: Facility was compliant during calendar year 2012 with all conditions of the land application permit (including but not limited to items 1-13 below) issued by the Division of Water Quality. R1 Yes ❑ No If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action taken. 1) Only residuals approved for this permit were applied to the permitted sites. 2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or the limit specified in the permit. 3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies of laboratory results are attached. 4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached. 5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3) copies of certified laboratory results are attached. 6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .1105(a) or the Pollutant Loading Rates in 15A NCAC 02T .1105(b) (applicable to 40 CFR Part 503 regulated facilities). 7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 401CFR Part 503 regulated facilities). 8) All monitoring and reporting requirements in 15A NCAC 02T .1111 were complied with (applicable to 40 CM Part 503 regulated facilities). 9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior authorization was received from the Division of Water Quality. 10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are attached to include appropriate actions and remediations. 11) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as specified in the permit. 12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred. 13) All buffer requirements as specified on the permit were maintained during each application of residuals. Part,C - Certification: "I certify, under penalty of law, that the above information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Ant,� w . iJ Permittee Name and Title (type or print ��-�Pl3 Signature of Permittee Date Signature of Preparer* Date Signature of Laid A,pplier Date (if different from Permittee) (if different from Permittee and Preparer) * n..............:.. .a�4—A ;-A 0 017D D—f W)l 0 (r) onA 1 SA ATC A(' 0')T 110') Ord) nFNR FORM AC F (17/gnnRi) Section 2 Form RSSF Annual Residual Sampling Summary Form ANNUAL RESIDUAL SAMPLING SUMMARY FORM Please note that your permit may contain additional parameters to be analyzed. The parameters can be reported in FORM RSSF - B WQ Permit Number: Facility Name: Residual Source WQ # or NPDES #: WWTP Name: Residual Analvsis Data WQ0031725 Baxter Healthcare WQ0031725 Laboratory 1) 2) 3) 4) 5) A&L Eastern Labs Parameter (mg/kg) Cone. Limit m a Sample or Composite Date 6-18-12 Percent Solids (%) NA 14.84 ' Arsenic 75 - 13 Cadmium 85 4 , Copper 4,300 211 ` Chromium NA 171 Lead 840 17 , Mercury 57 0.4 Molybdenum 75 7 Nickel 420 54 Selenium 100 1 Zinc 7,500 495 Total Phosphorus NA 10500 TKN NA 54900 Ammonia -Nitrogen NA 4920 Nitrate and Nitrite NA 23.6 For surface disposal facilities the ceiling concentration limits listed in this form are not applicable. Reference the individual permit for metals limits. "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Preparer * 0 2- 24 - 0 Date *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM RSSF (12/2006) s Section 3 Form MFLSF Annual Metals Field Loading Summary Form For Sites — DP31 DP4., DP5,, DP6 & DP7 June 181 2012 ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Operator: Acres Used: Baxter Healthcare Total Dry Tons Applied (Annual): WQ0031725 Cation Exchange Capacity (non 503 only): Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: 12.86 Acres. Permitted: 12.86 Site #: DP3 Field #: 49.88 FcB2 DP3 Residual Analysis Data (Heavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent ft Sample or Com- posite Date 1 6/18/12 L2J 3 L4J 5 j6 7 8 9 10 11 12 % Solids 14.84 Arsenic 13 Cadmium 4 Copper 211 Chromium 171 Lead 17 tJ Mercury 0.4 Molyb- denum 7 Nickel 54 Selenium 1 Zinc 495 Total Phos- horus ; 10500 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total 1 1 L2J 3 J 1415 6 7 8 L9J 10 Jill 12 DT/Ac./ o App. t� Event 3.88 Arsenic 0.101 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.600 0.000 0.101 Cadmium 1 0.031 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.031 Copper 1.637 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.637 Chromium 1.327 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.327 Lead 0.132 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.132 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- 0.054 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.054 denum Nickel 0..419 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.419 Selenium 0.008 0.000 0.000 0.000 1 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Zinc 1 3.840 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.060 0.000 3.840 Total Phos- 81.459 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000' F00 0.000 81.459 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". t/ ON Sign ture of LA Applier Date nFNR FORM MR OF (1g/7n(1F) ANNUAL METALS FIELD LOADING SUMMARY FORD[* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Permit #: Baxter Healthcare Total Dry Tons Applied (Annual): 22.68 WQ0031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: FcB2 Acres Used: 6.8 Acres Permitted: 6.8 Site #: DP4 Field #: DP4 Residual Analysis Data (Leavy Metals and Total Phosphorus use mg/kg, % Solids use Raw Percent #): Sample or Com- posite Date 1 6/18/12 1 21 L3]4 5 6 7 L8J 9 10 11 12 % Solids 14.84 Arsenic 13 Cadmium 4 Copper 211 Chromium 171 Lead 17 Mercury 0.4 Molyb- denum 7 Nickel 54 Selenium 1 Zinc 495 Total Phos- horus ; 10500 Annual Heavy Metal Field Loadings (Calculated in lbs/acre): Total I 1 I L2]3 4 5 61 7 8 1 91 10 11 12 DT/Ac./ / o App. Event 3.34 " Arsenic 0.087 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.087 Cadmium 0.027 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 1.407 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.407 Chromium1.141 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.141 Lead 0.113 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.113 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 denum Nickel 0.360 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0.360 Selenium 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Zinc 3.302 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.302 Total Phos- 70.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 70.035 horus "I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". a";- / / Signature of LaId Applier Date -✓ a V DENR FORM MFLSF (1212006) ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): Permit #: WQ0031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: Acres Used: 11.82 Acres Permitted: 11.82 Site #: DP5 Field #: DP5 Residual Analvsis Data (Heavv Metals and Total-Phnallhnrlle viva o/ c„I:a .. 'n 'n ____. u\_ 39.35 FcB2 Sample 2 3 4 5 a 6 -- --O' --117 . 1 Vl �"& rr). orr66/18/12 7 8. 9 10 11 12Com- posite Date % Solids 14.84 Arsenic 13 Cadmium 4 Copper 211 Chromiu 171 Lead 17 Mercury 0.4 Molyb- denum 7 Nickel 54 Selenium I Zinc 495 Total Phos- 10500 horus Snnno] Ton.... i%4_,&..1 V:_1A T .._.]_-__ ir_�_..• „ Total L2J L3]4 5 J L6 7j 8 9 10 11 12 DT/Ac./' y App. iv Event 3.33 Arsenic 0.0877 0.000 0.000 0.000 0.000 0.0.00 0.000 0.000 0.000 1 0.000 0.000 0.000 0.087 Cadmium 0.027 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.027 Copper 1.405 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.405 Chromium 1.139 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.139 Lead 0.113 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.113 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- . denum 0.047 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.047 Nickel 0.360 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.360 Selenium 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.007 Zinc 3_296 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 3.296 Total Phos- 69.909 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 69.909 horus Tr•ar+ifv n..�lo.. .,1+....F1.. aa._�..Lt �_ -- r----_j ----"7 .- ..y. Aaa- Tv "a I„cYaacu uuuci lily ulFCC uun.or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties .for submitting false information, including the possibility of fines and imprisonment for knowing violations". vz-_ �� Si ature of Land Kpplier Date nGAlp [=n0KA KAM oc t4nrnnno� ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): Permit #: WQ0031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: Acres Used: 3.97 Acres Permitted: 3.97 Site #: DP6 Field #: 17.24 FcB2 DP6 Residual Analysis Data (Heavy Metals and Total Phosphorus use mP/kLY. % Solids use Raw Percent #): Sample or Com- posite Date 1 6/18/12 L2J 3 4 5 6 L7J L8 j9 10 ill 12 % Solids 14.84 Arsenic 13 Cadmium 4 Copper 211 Chromium 171 Lead 17 Mercury 0.4 Molyb- denum 7 Nickel 54 Selenium 1 Zinc 495 Total Phos- horus 10500 tinnuai rneavy ivietai riew Eoaaino (t-;alculatea in ins/acre): Total 1 11 L2J3 4 5 6] L7J L8J9 10 11 12 DT/Ac./ c App. Event 4.34 y Arsenic 0.113 0.000 0.000 1 0.000 0.000 0.000 0.000 1 0.000 0.000 1 0:000 0.000 0.000 1 0.113 Cadmium 0.035 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.035 Copper 1.833 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 .0.000 0.000 1.833 Chromium 1.485 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.485 Lead 0.148 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.148 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.003 Molyb- denum enum 0.061 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.061 Nickel 0.469 0.000 0.000 0.000 0.000 0.060 0.000 0.000 0.000 0.000 0.000 0.000 0.469 Selenium 0.009 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.009 Zinc 4.300 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 4.300 Total Phos- 91.203 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 91.203 horus 1 cer[iiy, under penalty of jaw, inat tms aocument was preparea unaer my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there. are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signature of Land A plier Date nF:NR FORM hAFI qv: 11?i?nnRv ANNUAL METALS FIELD LOADING SUMMARY FORM* Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report Facility Name: Baxter Healthcare Total Dry Tons Applied (Annual): Permit #: WQ0031725 Cation Exchange Capacity (non 503 only): Operator: Douglas Poplin Owner: Douglas Poplin Predominant Soil Series: Acres Used: 3.34 Acres Permitted: 3.34 Site #: DP7 Field #: 13.86 FcB2 DP7 _ . _ _,____ "_4,. A4_i_l� -A Tn*.al Phnenharnc nse mu/ku_ °/a Solids use Raw Percent #): 1\U'a Uua1 Sample or AuuaJo .1 ­« 2 3 ---- 4 5 6 7j 8j 12 Com- posite Date 6/18/12 % Solids 14.84 Arsenic 13 Cadmium 4 Copper 211 Chromium 171 Lead 17 Mercury 0.4 Molyb- denum 7 Nickel 54 Selenium 1 Zinc 495 Total Phos- 10500 horus riu--ua- 11V{1,J 1♦ v «a -va» i.v»r_�a.. t-�---- 6 7 8 9 10 11 12 Total 1 2 3 4 5 y DT/Ac./ m App. Event 4.15 Arsenic 0.108 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.108 Cadmium 0.033 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.033 Copper 1 1.751 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.751 Chromiu 1.419 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1.419 Lead 0.141 0.000 0.000 0.000 0.000. 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.141 Mercury 0.003 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.003 Molyb- 0.058 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.058 denum Nickel 0.448 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.448 Selenium 0.008 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.008 Zinc 4.109 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 4.109 Total Phos- 87.150 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 87.150 horus _ _t ;n nnnn rfl9 tl /`P "I certify, under penalty oI law, inaL Lnls uucumum wa- p-pa-cu uuua.■ u.J -- . - »� -- • _ _ __ __ _____ with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations". Signat re of Land Applier /-2a-13 Date nFNR FnRM MFLSF (1212006) Section 4 — Form FSF Annual Land Application Filed Summary Form For Sites — DP3, DP4, DP5,, DP6 & DP7 ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. 'acility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP3 Acres Utilized: 12.86 Land Owner: Douglas Poplin Annual Dry Tons Applied: 49.8789 Site #: DP3 Acres Permitted: 12.86 Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503): Cron 1'Name: Fescue Crop 1 Max. PAN: _ 19,4 Crop 2 Name: Crop 2 Max. PAN: O Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per pp p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, Wet , Moist) Precip. Past 24 Hrs. inches a �, t? �. . °o P o o �' * ] 4. 5 w `-° ] TKN mg/kg z Y F3 o P M C, R. mg/kg Nitrate and Nitrite mglkg PAN Applied (lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 !012 27.57 14.84 0.268 WQ0031725 dry 0 s 0.5 0.3 54900 1 4920 23.6 9.366 NA Fescue !012 114.78 14.84 1.115 WQ0031725 dry 0 inc 1 0.3 54900 4920 23.6 44.480 NA Fescue 2012 112.78 14.84 1.096 WQ0031725 dry 0 inc 1 0.3 54900 4920 23.6 43.705 NA Fescue 2012 114.94 14.84 1.117 W00031725 dry 0 s 0.5 0.3 54900 4920 23.6 39.046 1 NA Fescue 2012 29.03 14.84 0.282 WQ0031725 dry 0 s 0.5 0.3 54900 4920 23.6 9.862 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): rALs: 399.1 o As Cu Cr Pb H Mo Ni Se Zn P 146.458 0.000 Lime A lied inuallbs/acre 0.101 1.637 1.327 0.132 0.003 0.054 0.419 .008 3.840 81.459 Date lbs/ac.or Years Cumulative lbs/ac 0.031 rCd 0.786 0.426 0.081 0.002 0.027 0.0143 0.004 1.599 10-2012 2500 xrent Cumulative lbs/ac 0.132 2.423 1.753 0.213 0.005 0.081 0.433 0.012 5.439 rmitted C. P. L. R.**** 36 1338 1 NA 1 267 15 NA 374 1 89 1 2498 rmit PAN Limit 1 st/2nd Crop 1 194 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that ialified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1 -a **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loadine Rate , DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP4 Acres Utilized: 6.8 Land Owner: Douglas Poplin Annual Dry Tons Applied: 22.6761 Site #: DP4 Acres Permitted: 6.8 Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503): Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN: y 1 0 l Volume applied enter one Solids/ ( ) Liquid Cu. Yds Gallons /o Solids Volume lied per Applied p Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc) Soil Cond. Wt , Moist) Precip. past 24 Hrs. inches a oa w'_ ] o X h �, * w' w * ;,' w 0 TKN mg/kg Z a o � M O 7 R. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 •2012 '43.19 14.84 0.794 WQ0031725 dry 0 s 0.5 1 0.3 54900 4920 23.6 27.747 NA Fescue •2012 77.26 14.84 1.420 WQ0031725 dry 0 s 0.5 0.3 54900 4920 23.6 49.636 NA Fescue .2012 52.31 14.84 0.961 WQ0031725 dry 0 s 0.5 0.3 54900 4920 23.6 33.606 NA Fescue •2012 8.68 14.84 0.160 WQ0031725 dry 0 s 0.5 0.3 54900 4920 23.6 5.576 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 1 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): )TALS: 181.441 07 As Cd Cu Cr Pb H Mo Ni Se I Zn P 116.5661 0.000 Lime Applied nnuallbs/acre 0.087 0.027 1.407 1.141 0.113 0.003 0.047 0.360 0.007 3.302 70.035 Date lbs/ac -ior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 0 10-2012 2500 urrent Cumulative lbs/ac 0.087 0.027 Lkl.407 1 1.141 0.113 0.003 0.047 0.360 0.007 3.302 °rmitted C. P. L. R.**** 36 34 1338 NA 267 15 NA 374 89 2498 =it PAN Limit Ist/2nd Crop 194 [ certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false [formation, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loadinij Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP5 Acres Utilized: 11.82 Land Owner: Douglas Poplin Annual Dry Tons Applied: 39.3457 Site #: DP5 Acres Permitted: 11.82 Operator: Douglas Poplin Crop 1 Name: Fescue Predominant Soil Series: FcB2 Crop 1 Max. PAN: 194 Crop 2 Name: Cation Exchange Capacity (non 503): Crop 2 Max. PAN: Y Volume applied (enter one) Solids/ Liquid 9 Cu. Yds Gallons % Solids Volume Applied per P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Wasteetc , ) Soil Cond. (Dry, Wet, Moist) precip, Past 24 Hrs. inches v K b a � �' a w * � o w �, �, w �, 0 � w cc w w TKN mg/kg Z q o El w. mg/kg Nitrate and Nitrite mg/kg PAN Applied ( lbs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 -2012 166.05 14.84 1.756 WQ0031725 dry 0 s 0.5 1 0.3 54900 4920 23.6 61.372 1 NA Fescue -2012 148.77 14.84 1.573 WQ0031725 dry 0 s 0.5 0.3 54900 4920 23.6 54.985 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): )TALS: 314.821 01 As Cd Cu Cr Pb Hg Mo Ni Se Zn P 116.357 0.000 Lime Applied nnuallbs/acre 0.087 0.'027 1.405 1.139 0.113 0.003 0.047 0.360 0.007 3.296 69.909 Date lbs/ac -ior Years Cumulative lbs/ac 0.013 0.100 36 0.007 0.034 34 0.339 1.744 1338 0.0184 1.157 NA 0.035 0.148 267 0.001 0.004 15 0.012 0.059 NA 0.062 0.422 374 0.002 0.009 89 0.69 3.986 2498 10-2012 2500 urrent Cumulative lbs/ac -rmitted C. P. L. R.**** ;rmit PAN Limit Ist/2nd Crop_F 194 I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations." Signature of Land Applier ) -)z-)3 Date *Application Method: S - Surface, IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP6 Acres Utilized: 3.97 Land Owner: Douglas Poplin Annual Dry Tons Applied: 17.2433 Site #• DP6 Acres Permitted: 3.97 Operator: Douglas Poplin Crop I Name: Fescue Predominant Soil Series: FcB2 Crop 1 Max. PAN: 194 Cation Exchange Capacity (non 503): Crop 2 Name: Crop 2 Max. PAN: v q Volume applied PP (enter one) Solids/ Liquid Cu. Yds Gallons % Solids Volume Applied per PP P Acre (Dry Tons/Ac) Residual Sources (NPDES #, WQ#, Fert., Animal Waste, etc ) Soil Cond. (Dry, Wet Moist) Precip, Past 24 Hrs. inches Y K "o CD � o ?' a * � o w w �, ro r N # a 0 z w , CD p- - N * TKN mg/kg z Y E9 o °D O R. mg/kg Nitrate and Nitrite mg/kg PAN Applied (lbs/acre) Name of CropType yP ReceivingResidua] Application Crop 1 Crop 2 Crop 1 Crop 2 -2012 137.97 14.84 4.343 WQ0031725 dry 0 s 0.5 0.3 54900 4920 23.6 151.8241 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): )TALS: 137.97 0 As Cd Cu. Cr Pb H Mo Ni Se Zn P 151.824 0.000 Lime A lied nnuallbs/acre 0.113 0.035 1.833 1.485 0.148 0.003 0.061 0.469 0.009 4.300 91.203 Date lbs/ac -ior Years Cumulative lbs/ac 0.048 0.161 V 0.024 0.059 34 1.212 3.045 1338 0.657 2.142 NA 0.125 0.273 267 0.002 0.005 15 0.042 0.103 NA 0.0221 0.491 0.006 0.015 89 2.466 6.766 4 10-2012 2500 urrent Cumulative lbs/ac °rmitted C. P. L. R.**** mnit PAN Limit Ist/2nd Crop 1 194 . certily, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that talified personnel properly gathered and evaluated the information submitted..I am aware that there are significant penalties for submitting false formation, including the possibility of fines and imprisonment for knowing violations." *Application Method: S - Surface, IN - Injection, INC - Incorporation 1- Z D- 0 **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 Signature of Land Applier Date *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant LoadiniZ Rate DENR FORM FSF (1212006) ANNUAL LAND APPLICATION FIELD SUMMARY FORM PLEASE MAKE A COPY OF THIS BLANK FORM TO BE COMPLETED AND SUBMITTED FOR EACH FIELD APPLIED ON PLACE A "N/A" IN A BLANK OR BOX WHEN NOT APPLICABLE. Facility Name: Baxter Healthcare WQ Permit #: WQ0031725 Field #: DP7 Acres Utilized: 3.34 Land Owner: Douglas Poplin Annual Dry Tons Applied: 13.8551 Site #: DP7 Acres Permitted: 3.34 Operator: Douglas Poplin Predominant Soil Series: FcB2 Cation Exchange Capacity (non 503): Crop 1 Name: Fescue Crop 1 Max. PAN: 194 Crop 2 Name: Crop 2 Max. PAN: ° ° Volume applied PP enter one Solids/ ( ) Liquid Cu. Yds Gallons o /o Solids Volume Applied per Acre (Dry Tons/Ac) Residual Sources (NPDES #; WQ#, Fert., Animal Waste, etc) Soil Cond. (Dry, We Moist) Precip. Past 24 Hrs. inches y a b co F w ao. o �; * N' w � " * N *w TKN mg/kg z �o o I mg/kg Nitrate and Nitrite mg/kg PAN Applied (Ibs/acre) Name of Crop Type Receiving Residual Application Crop 1 Crop 2 Crop 1 Crop 2 -2012 110.86 14.84 4.148 WQ0031725 dry 0 s 0.5 0.3 54900 4920 1 23.6 145.003 NA Fescue 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Residuals Applications totals on FORM FSF supp ( attach FORM FSF supp to this form): )TALS: 110.86 o As Cd Cu Cr Pb Hg Mo Ni Se Zn P 145.003 0.000 Lime Applied nnuallbs/acre 0.108 0.033 1.750 1.419 0.141 0.003 0.058 7448 0.008 4.107 87.108 Date lbs/ac rior Years Cumulative lbs/ac 0 0 0 0 0 0 0 0 0 0 10-2012 2500 urrent Cumulative lbs/ac 0.108 0.033 1.750 1.419 0.141 0.003 0.058 0.448 0.008 4.107 ennitted C. P. L. R.**** 36 34 1 1338 1 NA 267 15 NA 1 374 89 1 2498 ,rmit PAN Limit 1st/2nd Crop I F-194 1 certify, under penalty of law, that this document was prepared under my direction or supervision in accordance with a system designed to assure that ualified personnel properly gathered and evaluated the information submitted. I am aware that there are significant penalties for submitting false iformation, including the possibility of fines and imprisonment for knowing violations." J *Application Method: S - Surface, -IN - Injection, INC - Incorporation **Volatilization Rate: Surface - 0.5, Injection/Incorporation - 1.0 *** Mineralization Rates: Compost -0.1, anaerobially digested -0.2, Signature of Land Applier Date aerobically digested -0.3, raw sludge -0.4 ****C.P.L.R.: Cumulative Pollutant Loading Rate DENR FORM FSF (12/2006) Section 5 Analytical Results Sample 1— June 18, 2012 Page: 1 of 2 Report Number: 12-172-0203 Account Number: 46381 Submitted By: ZACH KEY Send To: SOUTHERN SOIL BUILDERS DENNIS KEY 958 HOOTS ROAD ROARING RIVER, NC 28669 Lab Number: 88268 Sample Id: BAXTER gRL A&L Eastern Laboratories, Inc. 7621 Whitepine Road Rkhniopd, Virginia 23237 (804) T43.8401 Fox (804) 271-6446 www.aleaatern.com Project: BAXTER NC# 257 REPORT OF ANALYSIS Date Sampled: 6/18/2012 09:00:00 Date Received: 06/20/2012 00:00 Date Reported 07/03/2012 Total Solids " 14.84 148400 100.0 RD 06/20/2012 14:05 SM-2540G Moisture * 85.16 100.0 RD 06/20/2012 14:05 SM-2540G Total Kjeldahl Nitrogen 5.49 54900 10.0 JM 06/21/2012 07:45 SM-4500-NH3C-TKN Total Phosphorus 1.05 10500 . 100 KM 07/02/2012 14:56 SW 6010C Total Potassium 0.23 2310 100 KM 07/02/2012 14:56 SW 6010C Total Sulfur 1.22 12200 - 100 KM 07/02/2012 14:56 SW 6010C Total Calcium 1.05 10500 100 KM 07/02/2012 14:56 SW 6010C Total Magnesium 0.32 3190 100 KM 07/02/2012 14:56 SW 6010C Total Sodium 0.24 2420 100 KM 07/02/2012 14:56 SW 6010C Total Iron 17000 , 1 KM 07/02/2012 14:56 SW 6010C Total Aluminum 11000 10 KM 07/02/2012 14:56 SW 6010C Total Manganese 146 1 KM 07/02/2012 14:56 SW 6010C Total Copper 211 1 KM 07/02/2012 14.56 SW 6010C Total Zinc 495 1 KM 07/02/2012 14:56 SW 6010C r Ammonia Nitrogen 0.49 4920 r 10.0 JM 06/21/2012 07:45 SM-4500-NI3C Organic N 5.00 49980 f 10.0 06/21/2012 07:45 CALCULATION Nitrate+Nitrite-N 23.6 f 2.00 JM 06/21/2012 07:45 SM-450ONO3F Total Cadmium 4.0 1.0 KM 07/02/2012 14:56 SW 6010C All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Our reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made , 6NA to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Page: 2 of 2 Report Number: 12-172-0203 Account Number: 46381 Submitted By: ZACH KEY Send To: SOUTHERN SOIL BUILDERS DENNIS KEY 958 HOOTS ROAD ROARING RIVER, NC 28669 Lab Number: 88268 Sample Id: BAXTER �L AFL Eastern Laboratories, In to90 7621 Whttepine Road Richmond, Virginia 23237 (804) 7434MI Fax (804) 271.8446 www.aleastern.com Project: BAXTER NC# 257 REPORT" OF ANALYSIS Date Sampled: 6/18/2012 09:00:00 Date Received: 06/20/2012 00:00 Date Reported: 07/03/2012 Total Chromium 171, 5 KM 07/02/2012 14:56. SW 6010C Total Nickel 54 - 5 KM 07/02/2012 14:56 SW 6010C Total Lead 17 5 KM 07/02/2012 14:56 SW 6010C Total Arsenic 13.0 r 1.0 KM 07/02/2012 14:56 SW 6010C Total Mercury <0.4 0.4 KM' 06/21/2012 09:00 SW-7471 B Total Selenium <1.0 1.0 KM 07/02/2012 14:56 SW 6010C pH (Standard Units) 7.44 0.01 JM 06/21/2012 07:59 SW-9045D Total Molybdenum 7 5 KM 07/02/2012 14:56 SW 6010C :omments: SULFUR AND ORGANIC NITROGEN NOT FOR COMPLIANCE PURPOSES. QUALIFIER: THE MATRIX SPIKE WAS OUT OF LIMITS FOR "Fe", "P", AND "S". ALL OTHER QC DATA IS ACCEPTABLE. All values are on a dry weight basis except as noted by asterisk. Detection limit on all N series is on a wet basis. Dur reports and letters are for the exclusive and confidential use of our clients, and may not be reproduced in whole or part, nor may any reference be made to the work, the results, or the company in any advertising, news release, or other public announcements without obtaining our prior written authorization. Debbie Holt Section 6 Calculations PAN Calculations SAR Calculations C, PAN. Mineralization -� as decimal Total dry tons/year Acres Applied on 1 38.79 Rate 0.3 TKN 54900 NH3 1 4920 NO3 23.36 NO2 0 % Solids 0.1484 143.01 PAN Surface 17477.36 m /k 34.95472 lbs/dry ton 4998.875 Ibs total PAN 128.8702 Ibs PAN/acre PAN Injection 19937.361mg/kg 39.87472 Ibs/d ton 5702.484 Ibs total PAN 147.0091 Ibs PAN/acre Dry Tons/1000 gal. 0.618828 1st year PAN Ibs./acre Surface Ibs. Surface 4998.8745071 1 128.8701858 1st year PAN Ibs./acre Injected Ibs. Injected 5702.4837071 147.0091185 MR(TKN-NH3)+ + .5(NH3)+NO3+NO2 =mg/kg mg/kg x .002 =Ibs/dry ton MR(TKN-NH3) + 1(NH3)+NO3+NO2 =mg/kg mg/kg x .002 =Ibs/dry ton 1000 X 8.34 X %solids'X sp. gravity 2000 "=dry tons/1000gal." SAR Sodium Absotption Ratio Na: Sodium (Mg/L) Equivalent weight: 23 Ca: Calcium (Mg/L) Equivalent weight: 20 Mg : Magnesium (Mg/L) Equivalent weight: 12 Milli Equivalent = Mg/L / Equivalent weight Na M /L Ca M /L M M /L 359.128 1 1558.2 1 473.396 Na ME Ca ME M ME 15.61426 1 77.91 1 39.44967 SAR= Na Milli Equivalent/[0.5 X (Ca Milli Equivalent + Mg Milli equivalent)]0.5 power SAR = 2.038342, : (From Mg/L entered above) SAR= 2.038308 (From ME entered below) Na ME Ca ME Mg (ME) 15.614 1 77.91 139.449671 The amour amount of E Permitting Section 7 Volatile Solids %Volatile Solids Analytical Results %Volatile Solids Calculations Analytical Results Southern Soil Builders 958 Hoots Road Roaring River NC 28669 Entered 6/20/2012 Reported: 6/27/2012 For: Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst 120620-20.1 % Volatile Solids Baxter 1 1.26 % SM2540G 6/22/12 CL 120620-20.2. % Volatile Solids Baxter 2 0.61 % SM2540G 6/22/12 CL Respectfuily submitted, Dena Myers NC Cert #440, 'NCDW Cert #37755, EPA N C 00909 P.O. Box 228 • Statesville, North Carolina 28687 9 704/872/4697 Client: Ns I� — — STATE, SVILLE ANALYTICAL 122 Court Street • P.O. B-ox 228 Statesville, NC 28687 (704) 872-4697 Address: 11U (o Contact Person:�ci- Phone # 3�G o-S-)- -7j'l 1 FAX# �3 �5 g t] Chain of PC # Requisitioned by: (Time Date) Custody Record Customer Sample ID# Lab -ID # Time Sampled Grab Only) Date Sampled (Grab Only) .0 0 a e Matrix Parameters requested for analysis sludge w lulu Relinquished by: Received by: Relinquished by: Received by: Composite Sampling Time begin Time end Composite Sampling Time begin Time end �� / - #1: am, pm Date / /_ am, pm Date /_/ #2: am, pm Date am, pm Date / / Time jLill)-aam, pm Date /,70/ Time am, pm Date _/_/_ Time am, pm Date _/ / Time ;�. , pm Da" ). Lab Comments: Sampled by: Transported by: Holding times met: Compliance work: Non-compliance work: Condition of Receipt Sample ID 120620-20 Client Southern Soil Builders Temp on Arrival 1 pH upon Arrival Parameter Schedule % Volatile Solids ❑ HNO3 ❑ HCl ❑ NaOH ❑ H2SO ❑ Na2S2O ❑ Dechlorinated ❑ Chemicals in containers, client ❑ Chemicals upon receipt ❑/ Received on Ice ❑ Samples chilled upon receipt ❑ Chemicals in containers, lab Page 1 of 1 VS in 0.0126 VS out 0.0061 VSFR= 0.519039 Percent Volatile Solids Reduction (0.0126-0.0061)%(.0126-(0.0126*0.6061))= 0.519 0.519 * 100 = 51.9% f�, Analytical Results Southern Soil Builders 958 Hoots Road Roaring River NC 28669 Entered 6/20/2012 Reported: 6/27/2012 For: Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst 120620-19:1 % Volatile Solids Baxter C1 1.01 % SM2540G 6/22/12 CL 120620-19.2. % Volatile Solids Baxter C2 0.30 % SM2540G 6/22/12 CL Respectfully submitted, t 1 ^ �1 Dena Myers 0 NC Cert #440, NCDW Cert #37755, EPA N CO0909 N P.O. Box 228 9 Statesville, North Carolina 28687 • 704/872/4697 Client: 7a�1«r�::)f1r J 1 rG - - - STATESVILLE ANALYTICAL ]22 Court Street • P.O. Box 228 Statesville, NC 28687 Address: f , J �� S / �Jo`� 4 f` t/' 01 �. (704) 872-469-f Contact Person: AeL I Phone # '7b- Qj -)- `? � 1 1 FAX# 3?(, `�r`7 4 Chain of Custody Record PO # Requisitioned by: (Time Date) Customer Sampler Lab -ID # Time Sampled (Grab Only) Date Sampled (Grab Only) a a Matrix Parameters requested for analysis q y Sludge W WW c I an- 6 - aU - i a- tip, -5 Relinquished by: Received by: Relinquished by: Received by: y Composite Sampling Time begin Time end Composite Sampling Time begin Time end L - #1: am, pm Date /_/ I am, pm Date _/ /_ #2: am, pm Date am, pm Date //_ Time am, bkate / Sampled by: ; Time am, pm Date _/_/ Transported Time am, pm Date _/ Holding times /et-. 'D Time J' `� am, p+r�atc Compliance work: . Non-compliance work: Lab Comments: Condition of Receipt Sample ID 120620-19 Client Southern Soil Builders Temp on Arrival 1 pH upon Arrival Parameter Schedule % volatile Solids ❑ HNO3 ❑ HCl ❑ NaOH ❑ H2SO ❑ Na2S2O ❑ Dechlorinated ❑ Chemicals in containers, client ❑ Chemicals upon receipt 0 Received on Ice ❑ Samples chilled upon receipt ❑ Chemicals in containers, lab Page 1 of 1 N VS in 0,0101 VS out 0.003 VSFR= 0.705086 Percent Volatile Solids Reduction (0.0101-o.003)/(.0101-(0.0101*0.003))= 0.705 0,705*100 = 70.5% Section 8 Analytical Results TCLP Corrosivity Ignitability Reactivity Solids Fecal Coliform Analytical Results Southern Soil Builders 958 Hoots Road Roaring River NC 28669 Entered 5/30/2012 Reported: 6/14/2012 For: Baxter Sample ID Parameter Cust ID Result Units Method Date -Analyzed Analyst 120530-15 Corrosivity Baxter See Attached SW-846 6/12/12 PACE 120530-15 Ignitability Baxter See Attached 1010M 6/12/12 PACE 120530-15 Reactivity Baxter See Attached SW-846 6/12/12 PACE 120530-15 TCLP Baxter See Attached 1311 6/12/12 PACE Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA NC00909 P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697 Client: �o%, bA rr ✓t� e, . STATESVILLE ANALYTICAL . 122 Court Street • P.O. Box 228^ Address: qw -115 Statesville, NC 28687 (704) 872-4697 . QU t ,, I ; J t� f�C �6 - , Contact Person: ` i,j� F• �r `` Phone # 33C_ ��7_ �g� FAX# s 7 _ g�,�j Chain of Custody Record PO # Requisitioned by: (Time Date) Customer. Sample IQ# Lab -'ID # Time Sampled Grab Only) ( y) Date Sampled (Grab Only) m d E Matrix Parameters requested for'analysis Sludge W WW r1ur S. �T�ttr:'I .• •s . Relinquished by: Time, �. am,, m Date. /30/, Sampled by: Received by: Time >va Date J /7_,0/ �r p ✓` Transported*b . Relinquished.by: Time am, pm Date _/_/ ✓' Holding times m t: Received by: Time am, pm Date t Compliance work: Cbmposi.te Sampling #1: Time begin am, pm Date _//_ Non-compliance work: Time end am, pm Date _/_/_ Lab Comments: Composite Sampling #2: Time begin am, pm Date Time end am, pm Date _/_/_ i aceAnaIXical www.pacelabs.com Project: 120530-15 Pace Project No.: 92119668 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 120530-15 Lab ID: 92119668001 Collected: 05/30/12 13:15 Received: 05/31/12 13:40 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8081 GCS Pesticides, TCLP SPE gamma-BHC (Lindane) Chlordane (Technical) Endrin Heptachlor epoxide Methoxychlor Toxaphene Surrogates Decachlorobiphenyl (S) Tetra chloro-m-xylene (S) Analytical Method: EPA 8081 Preparation Method: EPA 3535 Leachate Method/Date: EPA 1311; 06/08/12 11:00 ND,ug/L 0.50 1 06/12/12 09:00 06/12/12 15:20 58-89-9 ND,ug/L 3.0 1 06/12/12 09:00 06/12/12 15:20 57-74-9 ND ug/L 0.50 1 06/12/12 09:00 06/12/12 15:20 72-20-8 NDzug/L 0.50 1 06/12/12 09:00 06/12/12 15:20 1024-57-3 ND ug/L 1000 1 06/12/12 09:00 06/12/12 15:20 72-43-5 ND ug/L 3.0 1 06/12/12 09:00 06/12/12 15:20 8001-35-2 60 % 10-138 1 06/12/12 09:00 06/12/12 15:20 2051-24-3 36 % 10-110 1 06/12/12 09:00 06/12/12 15:20 877-09-8 8151 Chlorinate Herbicide TCLP Analytical Method: EPA 8151 2,4-D ND-mg/L 0.010 1 06/06/12 08:00 06/08/12 00:47 94-75-7 2,4,5-TP (Silvex) ND/mg/L 0.010 1 06/06/12 08:00 06/08/12 00:47 93-72-1 Surrogate 2,4-DCAA (S) 84 % 70-130 1 , 06/06/12 08:00 06/08/12 00:47 19719-28-9 6010 MET ICP, TCLP Analytical Method: EPA6010 Preparation Method: EPA3010 Leachate Method/Date: EPA 1311; 06/09/12 17:45 Arsenic ND, mg/L 0.025 1 06/10/12 19:00 06/12/12 02:48 7440-38-2 Barium ND mg/L 0.50 1 06/10/12 19:00 06/12/12 02:48 7440-39-3 Cadmium ND/mg/L 0.0050 1 06/10/12 19:00 06/12/12 02:48 7440-43-9 Chromium ND,mg/L 0.025 1 06/10/12 19:00 06/12/12 02:48 7440-47-3 Lead ND ,mg/L 0.025 1 06/10/12 19:00 06/12/12 02:48 7439-92-1 Selenium ND/mg/L 0.10 1 06/10/12 19:00 06/12/12 02:48 7782-49-2 Silver ND,, mg/L 0.025 1 06/10/12 19:00 06/12/12 02:48 7440-22-4 7470 Mercury, TCLP Analytical Method: EPA 7470 Preparation Method: EPA 7470 Leachate Method/Date: EPA 1311; 06/09/12 17:45 Mercury Nl�,ug/L 0.20 1 06/11/1214:40 06/12/1212:39 7439-97-6 8270 MSSV TCLP Sep Funnel Analytical Method: EPA 8270 Preparation Method: EPA 3510 Leachate Method/Date: EPA 1311; 06/08/12 11:00 1,4-Dichlorobenzene ND-ug/L 50.0 1 06111/1208:50 06/11/12 18:28 106-46-7 2,4-Dinitrotoluene NDrug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 121-14-2 Hexachloro-1,3-butadiene ND'ug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 87-68-3 Hexachlorobenzene ND'ug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 118-74-1 Hexachloroethane ND' ug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 67-72-1 2-Methyl phenol (o-Cresol) NDug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 95-48-7 3&4-Methylphenol(m&p Cresol) ND' ug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 Nitrobenzene ND- ug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 98-95-3 Pentachlorophenol ND- ug/L 100 1 06/11/12 08:50 06/11/12 18:28 87-86-5 Pyridine, ND'ug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 110-86-1 2,4,5-Trichlorophenol ND' ug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 95-95-4 2,4,6-Trichlorophenol NDrug/L 50.0 1 06/11/12 08:50 06/11/12 18:28 88-06-2 Date: 06/14/2012 09:49 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 of 19 aceAnalycical / www.pacelabs.com i Project: 120530-15 Pace Project No.: 92119668 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: 120530-15 Lab ID: 92119668001 Collected: 05/30/12 13:15 Received: 05/31/12 13:40 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8270 MSSV TCLP Sep Funnel Surrogates Nitrobenzene-d5 (S) 2-Fluorobiphenyl (S) Terphenyl-d14 (S) Phenol-d6 (S) 2-Fluorophenol (S) 2,4,6-Tribromophenol (S) 8260 MSV TCLP Benzene 2-Butanone (MEK) Carbon tetrachloride Chlorobenzene Chloroform', 1,4-Dichlorobenzene 1,2-Dichloroethane 1,1-Dichloroethene Tetrachloroethene Trichloroethene Vinyl chloride Surrogates 1,2-Dichloroethane-d4 (S) Toluene-d8 (S) 4-Bromofluorobenzene (S) Dibromofluoromethane (S) 1010 Flash point, Closed Cup Flashpoint 734S Reactive Sulfide Sulfide, Reactive 9045 pH Soil pH at 25 Degrees C 733C Reactive Cyanide Cyanide, Reactive Analytical Method: EPA 8270 Preparation Method: EPA 3510 Leachate Method/Date: EPA 1311; 06/08/12 11:00 34 % 12-102 30 % 13-107 47 % 21-132 16 % 10-110 20 % 10-110 55 % 27-108 Analytical Method: EPA 8260 ND,-ug/L 5.0 ND''ug/L 10.0 ND,ug/L 5.0 ND-ug/L 5.0 NDr ug/L 5.0 ND ug/L 5.0 ND' ug/L 5.0 ND,,ug/L 5.0 ND/ug/L 5.0 ND,, ug/L 5.0 N Dlug/L 5.0 111 % 70-130 101 % 67-135 96 % 70-130 109 % 70-130 Analytical Method: EPA 1010 >200 deg F 70.0 Analytical Method: SW-846 7.3.4.2 Modified ND, mg/L 10.0 Analytical Method: EPA 9045 6.3 Std. Units 0.10 Analytical Method: SW-846 7.3.3.2 Modified ND mg/L 0.0050 1 06/11/12 08:50 06/11/12 18:28 4165-60-0 1 06/11/12 08:50 06/11/12 18:28 321-60-8 1 06/11/12 08:50 06/11/12 18:28 1718-51-0 1 06/11/12 08:50 06/11/12 18:28 13127-88-3 1 06/11/12 08:50 06/11/12 18:28 367-12-4 1 06/11/12 08:50 06/11/12 18:28 118-79-6 1 06106/1217:08 71-43-2 1 06/06/12 17:08 78-93-3 1 06/06/12 17:08 56-23-5 1 06/06/12 17:08 108-90-7 1 06/06/12 17:08 67-66-3 1 06/06/12 17:08 106-46-7 1 06/06/12 17:08 107-06-2 1 06/06/12 17:08 75-35-4 1 06/06/12 17:08 127-18-4 1 06/06/12 17:08 79-01-6 1 06/06/12 17:08 75-01-4 1 06/06/12 17:08 17060-07-0 1 06/06/12 17:08 2037-26-5 1 06/06/12 17:08 460-00-4 1 06/06/12 17:08 1868-53-7 1 06/11/12 19:30 1 06/06/12 10:30 1 06/01/12 15:00 1 06/06/12 19:36 H6 Date: 06/14/2012 09:49 AM REPORT OF LABORATORY ANALYSIS Page 5 of 19 This report shall not be reproduced, except in full, without the_written consent of Pace Analytical Services, Inc.. Analytical Results Southern Soil Builders 958 Hoots Road Roaring River NC 28669 Entered 3/29/2012 Reported: 4/2/2012 For: Baxter Sample ID Parameter Cust ID Result Units Method Date Analyzed Analyst 120329-14.1 % Solids B-1 12.4 % SM2540B 3/29/12 CL 120329-14.1 Fecal Coliform MTF B-1 129,032 MPN/g SM92210E 3/29/12 CL 120329-14.1 Geometric Mean B-li 112,508 MPN/g dry wt. basis 4/2/12 CL 120329-14.2 % Solids B-2 13.0 % SM2540B 3/29/12 CL 120329-14.2 Fecal Coliform MTF B-2 123,077 MPN/g SM9221 CE 3/29/12 CL 120329-14.3 %Solids B-3 1 . p % SM2540B 3/29/12 CL 120329-14.3 Fecal Coliform MTF B-3 >131,148 1 MPN/g SM92210E 3/29/12 CL 120329-14.4 % Solids B-4 .3 ---� % SM2540B 3/29/12 CL 120329-14.4 Fecal Coliform MTF B-4 44,248 MPN/g SM9221 CE 3/29/12 CL 120329-14.5 % Solids B-5 12.2 % SM2540B 3/29/12 CL 120329-14.5 Fecal Coliform MTF B-5 131,148 MPN/g SM92210E 3/29/12 CL 120329-14.6 % Solids B-6 11.3 % SM2540B 3/29/12 CL 120329-14.6 Fecal Coliform MTF B-6 51 1—,593 MPN/g SM92210E 3/29/12 CL 120329-14.7 % Solids B-7 12.0 % SM2540B 3/29/12 CL 120329-14.7 Fecal Coliform MTF B-7 >13 33 33 ,MPN/g SM92210E 3/29/12 CL Respectfully submitted, , Vma. al4r Dena Myers NC Cert #440, NCDW Cert #37755, EPA NC00909 P.O. Box 228 • Statesville, North Carolina 28687. 704/872/4697 Client: o., hC � .50: �' I �+ p'> , �r STATESVILLE ANALYTICAL 122 Court Street • P.O. Box 228 Statesville, NC 28687 (704) 872-469T Address: ^v-`-- �0 CA Contact Person: Phone # y S.� � FAX# 5.� �� Chain of Custody Record PO # ,. Requisitioned by: (Time Date) Customer. Sample ID# Lab -ID # Time Sampled (Grab Only) Y) Date Sampled (Grab Only) cu a E o Matrix Parameters requested for analysis Sludge w ww r 2 ,l r:0o >( - � x Relinquished by: R eeived by:. Relinquished by: Received by: Garrlposite Sampling Time begin Time end Composite Sampling Time begin Time end 2 #1:' am, pm Date _/_/_ am, pm Date /_/ #2: am, pm Date am, pm Date _/_/ Time /r Time : j'� Time Time Lab Comments: am,�ate /�`�'/ �� am,�ate,�/2 �/ Z am, pm Date / / am, pm Date Sampled by: Trans ported P /W. Holding times met: Compliance work: Non-compliance work: Section 9 FORM PVRF 02T Annual Pathogen and Vector Attraction Reduction Form 1.1 ANNUAL PATHOGEN AND VECTOR ATTRACTION REDUCTION FORM (02T Rules) Facility Name: Baxter Healthcare Corporation WWTP Name: Baxter Healthcare Corporation Monitoring Period: From 1/1/2012 WQ Permit Number: NPDES Number: To 12/31 /2012 WQ0031725 NC0006564 Pathogen Reduction (15A NCAC 02T .1106).- Please indicate level achieved and alternative performed: Class A: I Alt. A (time/temp) ❑ 1 Alt B (Alk Treatment) ❑ Alt. C (Prior Testing) ❑ Alt.D (No Prior Test) ❑ I Process to Further Reduce Pathogengs ❑ If applicable to alternative performed (Class A only) indicate "Process to Further Reduce Pathogens": Compost ❑ Heat Drying ❑ Heat Treatment ❑ Thermophilic ❑ Beta Ray ❑ Gamma Ray ❑ Pasteurization ❑ .. Class B: Alt. (1) Fecal Density p Alt. (2) Process to Significantly Reduce Pathogens ❑ If applicable to alternative performed (Class B only) indicate "Process to Significantly Reduce Pathogens": Lime Stabilization ❑ Air Drying ❑ I Composting ❑ jAerobic Digestion ❑ ae An robic Di estion g .......................................................................................................................... . If applicable to alternative performed (Class A or Class B) complete the following monitoring data: Parameter Allowable Level in Sludge in Pathogen Density Number ot Excee- Frequency of Analysis Y Sample Type Analytical Tech - njoue Minim Geo. Mean Maximum Unitsences Fecal Coliform ' 2 x 10 to the 6th power per gram of total solids MPN 44248 112508 141593 MPN/g 0 7 grab sm9221 e CFU 1000 mpn per gram of total solid (dry weight) Salmonella bacteria (in lieu of fecal coliform) 3 MPN per 4 grams total solid (dry weight) Vector Attraction Reduction (15A NCAC 02T .1107) - Please indicate alternative performed: Alt.1 (VS reduction) 0 Alt. 2 (40-day bench) ❑ Alt. 3 (30-day bench) ❑ Alt. 4 (Spec. Oz uptake) ❑ Alt. 5 (14-Day Aerobic) ❑ Alt. 6 (Alk. Stabilization ❑ Alt 7 (Drying - Stable) ❑ Alt. 8 (Drying - Unstable) ❑ Alt. 9 (Injection) ❑ Alt. 10 (Incorporation) ❑ No vector attraction reduction alternatives were performed ❑ CERTIFICATION STATEMENT (please check the appropriate statement) 0 "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have been met." ❑ "I certify, under penalty of law, that the pathogen requirements in 15A NCAC 02T .1.106 and the vector attraction reduction requirement in 15A NCAC 02T .1107 have not been met." (Please note if you check this statement attach an explanation why you have not met one or both of the requirements.) "This determination has been made under my direction and supervision in accordance with the system designed to ensure that qualified personnel properly gather and evaluate the information used to determine that the pathogen and vector attraction reduction requirements have been met. I am aware that there are significant penalties for false certification including fine and imprisonment." Dennis Key Southern Soil Builders, Inc. Preparer Name and Title (type or print) Land Applier Name and Title (if applicable)(type or print) Signature of Prepar Date SigrVture of Land Applier (if applicable) Date. *Preparer is defined in 40 CFR Part 503.9(r) and 15A NCAC 2T .1102 (26) DENR FORM PVRF 02T (12/2006) Section 10 Predictive Soil Report NCDA&CS Predictive Soil Report for. samples: DPIAI DPIBI DPICI DPID., DP2. DP3., DP4. DP5,' DP6 & -DP7 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY13-SL010322 Client: Southern Soil Builders, 958 Hoots Rd Inc. Advisor: Predictive Roaring River, NC 28669 '; :%" �;•r/I Soil ReportMehlich-3 Extraction ' . County: Wilkes r Links to Helpful Information x yr Sampled: Received: 10/18/2012 Completed: 10/26/2012 Farm: Sample ID: DPIA Lime Nutrients (lb/acre) More (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 7ecommendations:. G/Tim,M 1.0 120-200 80 0 0 0 0 0 0 0 Note: 12 $PH Test Results [units - WN in g/cd; CEC and Na in meq/100 cn�; NO3-N in mg/dnr ]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg%. S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.22 0.85 5.8 73 1.6 (i 25 126 46 16 172 761 473 178 177 175 0.2 672 Sample ID: DPIB Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fes/OG/Tim,M 0.0 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - $pH Test Results [units - WN in gled; CEC and Na in meq/100 crrr ; NO3-N in mg/drn3]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS -I NO3-N 0.51 0.88 15.4 91 1.4 6.3 335 241 56 27 62 178 120 524 524 1023 0.2 1 Sample ID: DPIC Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fes/OG/Tim,M 0.8 120-200 0 0 0 0 0 0 0 0 Note: 12 2 - $PH Test Results [units - WN in g/cnt ; CEC and Na in meq/100 cn�; NO3-N in mg/dd]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.76 0.87 13.4 83 2.3 45?70 288 144 60 17 43 151 108 700 700 1184 0.2 1 (North Carolina l k+I+.rciv inni Fr:rr.l Ccr:un.•..r..n Reprogramming of the laboratory -information -management system that makes this report possible is being funded through a grant from the North Carolina Tobacco Trust Fund Commission. Thank you for using agronomic services to manage nutrients and safeguard environmental quality. - Steve Troxler, Commissioner of Agriculture NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY13-SL010322 Southern Soil Buil ers, Inc. ], t, J�;p�o`��5 Dl trl �,� Page 2 of 4 Sample ID: DPID Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fes/OG/Tim,M 0.3 120-200 0 0 0 0 0 0 0 0 Note: 12 2- $pH Test Results [units - WN in g/crap; CEC. and Na in meg1100 crrr3; NO3-N in mg/da]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-1 Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.71 0.89 14.0 87 1.8 *S9_.,' 229 150 56 25 48 129 94 775 775 877 0.2 1 Sample ID: DP2 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Corn,Silage 0.0 180-220 0 30 0 0 0 .0 0 0 Note: 3 1.00 tons/acre; 3/2012 2- $pH . Test Results [units - W/V in g/cd; CEC and Na in meq/100 crrr3; NO3-N in mg/drrP]: Soil Class: Mineral HM% WN- CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.36 0.96 10.8 87 1.4 6.1 171 89 55 28 74 108 80 853 853 772 0.1 1 Sample ID: DP3 Recommendations: Lime Nutrients (lb/acre) More Crop (tonslacre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1 - Fes/OG/Tim,M 1.1 120-200 40 60 0 0 0 0 0 0 Note: 12 2- $pH Test Results [units - WN in g/carp; CEC and Na in meq/100 crrr3; NO3-N in mg/drrt ]: Soil Class: Mineral HM% WN CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.41 0.91 6.6 70 2.0 ' 43 39 46 21 51 98 76 266 266 370 0.1 2 Sample ID: DP4 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fes/OG/Tim,M 0.0 120-200 0 30 0 0 0 0 0 0 Note: 12 1.00 tons/acre; 8/2012 2- $pH Test Results [units - WN in g/ca; CEC and Na in meq/100 cd; NO3-N in mg/da]: Soil Class: Mineral HM% W/V CEC BS% Ac pH P-1 K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 1.14 0.87 10.9 81 2.0 -5-6,; 125 55 55 24 53 163 115 695 695 569 0.1 1 Y t� NCDA&CS Agronomic Division Phone: (919) 73.3-2655 Website: www.ncagr.gov/agroriomi/ Report No. FY13-SL010322 Southern Soil Builders, Inc. Page 3 of 4 Sample ID: DP5 Recommendations: Lime Nutrients (Ib/acre) More Crop (tons/acre) N P2O6 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fes/OG/Tim,M 0.0 120-200 0 20 0 0 0 0 0 0 Note: 12 1.00 tons/acre; 8/2012 2- $pH Test Results [units - WN in g/crrr3; CEC and Na in meq/100 cmR; NOs-N in mg/drrP]: Soil Class: Mineral HM% WN CEC BS% Ac pH A. P-I K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N 0.97 0.85 12.0 84 1.9 —?� 132 67 59 23 57 122 90 980 980 810 0.2 2 Sample ID: DP6 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fes/OG/Tim,M 0.9 120-200 0 80 0 0 0 0 0 0 Note: 12 2- $pH Test Results [units - WN in g/cd; CEC and Na in meq/100 crrr3; NO3-N in mg/dd]: Soil Class: Mineral HM% WN CEC BS% Ac pH K-1 Ca% Mg% S-1 Mn-I Mn-All Mn-AI2 Zn-I Zn-AI Cu-I Na ESP SS-1 NO3-N �P-1 0.60 0.98 7.9 76 1.9 :5 5—_V� 70 30 56 18 47 62 54 416 416 734 0.2 3 Sample ID: DP7 Recommendations: Lime Nutrients (lb/acre) More Crop (tons/acre) N P2O5 K2O Mg S Mn Zn Cu B Information Lime History: 1-Fes/OG/Tim,M 1.1 120-200 0 0 0 0 0 0 0 0 Note: 12 2-- $pH Test Results [units - WN in g/crap; CEC and Na in meq/100 cn-P; NO3-N in mg/drrt3]: Soil Class: Mineral HM% WN CEC BS% Ac pH & v P-1 K-1 Ca% Mg% S-1 Mn-1 Mn-All Mn-Al2 Zn-I Zn-AI Cu-1 Na ESP SS-1 NO3-N 0.60 0.93 9.7 80 1.95 2=a1 194 156 57 15 66 111 84 393 393 832 0.2 2 NCDA&CS Agronomic Division Phone: (919) 733-2655 Website: www.ncagr.gov/agronomi/ Report No. FY13-SLO10322 Southern Soil Builders, Inc. Page 4 of 4 Understanding the Soil Report: explanation of measurements, abbreviations and units Recommendations Report Abbreviations Lime Ac exchangeable acidity If testing finds that soil pH is too low for the crop(s) indicated, a lime recommendation will be given in units of either B boron ton/acre or Ib/1000 sq ft. For best results, mix the lime into the top 6 to 8 inches of soil several months before planting. BS% % CEC occupied by basic cations For no -till or established plantings where this is not possible, apply no more than 1 to 1.5 ton/acre (50 Ib/1000 sq ft) at Ca% % CEC occupied by calcium one time, even if the report recommends more. You can apply the rest in similar increments every six months until the CEC cation exchange capacity full rate is applied. If MG is recommended and lime is needed, use dolomitric lime. Cu-I copper index . ESP exchangeable sodium percent Fertilizer HM%o percent humic matter Recommendations for field crops or other large areas are listed separately.for each nutrient to be added (in units of K4 potassium index lb/acre unless otherwise specified). Recommendations for N (and sometimes for B) are based on research/field studies K20 potash for the crop being grown, not on soil test results. K-I and P-1 values are based on, test results and should be > 50. If they Mg% % CEC occupied by magnesium are not, follow the fertilizer recommendations given. If Mg is needed and no lime is recommended, 0-0-22 (11.5% Mg) is MIN mineral soil class an excellent source; 175 to 250 lb per acre alone or in a fertilizer blend will usually satisfy crop needs, SS-1 levels appear Mn. manganese only on reports for greenhouse soil or problem samples. Mn-All Mn-availability index for crop 1 Mn-AI2 Mn-availability index for crop 2 Mn-I manganese index Farmers and other commercial producers should pay special attention to micronutrient levels. If $, pH$, $pH, C or'Z M-0 ,mineral -organic soil class notations appear on the soil report, refer to $Note: Secondary Nutrients and Micronutrients. In general, homeowners do ,not N nitrogen need to be concerned about micronutrients. Various crop notes also address lime fertilizer needs; visit . Na sodium ncagr.gov/agronomi/pubs.htm. NO3-N nitrate nitrogen ORG organic soil class Recommendations for small areas, such as home lawns/gardens, are listed in units of Ib/1000 ft. If you cannot find pH current soil pH the exact fertilizer grade recommended on the report, visit www.ncagr.govla4ronomilobAart4.htm#fs to find information P-1 phosphorus index that may help you choose a comparable alternate. For more information, read A Homeowner's Guide to Fertilizer. P20s phosphate S-1 sulfur index Test Results SS-1 soluble salt index W/V weight per volume The first seven values [soil class, HM%o, WN, CEC, BS%o, Ac and pH] describe the soil and its degree of acidity. The Zn-AI zinc availability index remaining 16 [P-1, K-I, Ca%, Mg%, Mn-I, Mn-All, Mn-AI2, Zn-I, Zn-Al, Cu-I, S-I, SS -I, Na, ESP, SS -I, NO3-N (not Zn-I zinc index routinely available)] indicate levels of plant nutrients or other fertility measurement. Visit www.ncagr govlagronomiluyrst.htm for more information.